/*
* Library: IMMZD5DTTBECILogic (IMMZ.D5.DT.TBE contraindications)
* Rule: Check for contraindications before administering the vaccine(s) due
* Decision Table: Potential contraindications
* Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications
*/
library IMMZD5DTTBECILogic
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1'
include IMMZD5DTTBEEncounterElements called Encounter
parameter Today Date default Today()
context Patient
/*
@dynamicValue: Draft Medication Request ID for TBE dose
*/
define "Draft Medication Request ID for TBE dose":
First(Encounter."Draft Medication Request for TBE dose").id
/*
@dynamicValue: Guidance
*/
define "Guidance":
case
when "Clinical judgement is required. Create a clinical note" then "Clinical judgement is required. Create a clinical note Guidance"
else ''
end
define "Has Guidance":
"Guidance" is not null and "Guidance" != ''
/*
@output: Clinical judgement is required. Create a clinical note Case 1
@pseudocode: "Immunization recommendation status" = "Further evaluation needed"
*/
define "Clinical judgement is required. Create a clinical note Case 1":
Encounter."The client is currently pregnant"
/*
@output: Clinical judgement is required. Create a clinical note Case 2
@pseudocode: "Immunization recommendation status" = "Further evaluation needed"
*/
define "Clinical judgement is required. Create a clinical note Case 2":
Encounter."The client has moderate to severe fever"
/*
@output: Clinical judgement is required. Create a clinical note
@pseudocode: "Immunization recommendation status" = "Further evaluation needed"
*/
define "Clinical judgement is required. Create a clinical note":
"Clinical judgement is required. Create a clinical note Case 1"
or "Clinical judgement is required. Create a clinical note Case 2"
/*
@output: Clinical judgement is required. Create a clinical note Guidance
@guidance: Conduct a risk–benefit assessment considering the incidence of the disease, consider risks of vaccination and make a clinical judgement.
@guidance: Consider postponing the vaccination if the client has fever > 38.5°C or other signs of serious disease. Consider risks of vaccination and make a clinical judgement.
*/
define "Clinical judgement is required. Create a clinical note Guidance":
case
when "Clinical judgement is required. Create a clinical note Case 1" then 'Conduct a risk–benefit assessment considering the incidence of the disease, consider risks of vaccination and make a clinical judgement.'
when "Clinical judgement is required. Create a clinical note Case 2" then 'Consider postponing the vaccination if the client has fever > 38.5°C or other signs of serious disease. Consider risks of vaccination and make a clinical judgement.'
else ''
end
/*
@test: Test expected results based on example patients
*/
define "Test Validation":
case
when Patient.id = '69.0' then "Clinical judgement is required. Create a clinical note Case 1" and "Guidance" = 'Conduct a risk–benefit assessment considering the incidence of the disease, consider risks of vaccination and make a clinical judgement.'
when Patient.id = '70.0' then "Clinical judgement is required. Create a clinical note Case 2" and "Guidance" = 'Consider postponing the vaccination if the client has fever > 38.5°C or other signs of serious disease. Consider risks of vaccination and make a clinical judgement.'
else 'No test case set'
end